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Category Archives: Administrative Law

Association of California Insurance Companies v. Jones

(Supreme Court of California) – In an insurance case addressing the Insurance Commissioner’s 2011 regulation covering replacement cost estimates for homeowners insurance, Cal. Code Regs., tit. 10 section 2695.183, which addressed the divergence between homeowners’ expectations of insurance coverage and the actual scope of coverage…

Maine Medical Center v. Burwell

(United States First Circuit) – In a dispute between the Secretary of Health and Human Services and eight Maine hospitals, involving the ‘often surreal’ Medicare reimbursement regime and the system through which the federal government reimburses hospitals for charity care, so-called disproportionate share payments (DSH…

Halo v. Yale Health Plan

(United States Second Circuit) – In a civil action, brought by insured plaintiff claiming that defendant violated the Department of Labor’s claims-procedure regulation, 29 C.F.R. section 2560.503-1, in handling her health insurance claim, the district court’s grant of summary judgment to defendant is vacated and…

Myers v. State Board of Equalization

(California Court of Appeal) – In a taxpayer’s mandamus action to determine whether Blue Shield of California and Anthem Blue Cross are “insurers” under the California Constitution’s gross premium tax provision, Cal. Const., art. XIII sections 28(b)-(d), the trial court’s sustainment of defendants’ demurrer without…

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